ArticleJournal of the American Heart Association2025
Outcome Prediction After Tetralogy of Fallot Repair: A Prospective Clinical and Cardiovascular Magnetic Resonance Study.
Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The trial behind it
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Who cites it
5 citing papers in PubMed.
- Early-Diastolic Right Ventricle-Pulmonary Artery Pressure Gradient by Doppler Echocardiography to Guide Cardiac Magnetic Resonance Assessment of Pulmonary Regurgitation after Right Ventricular Outflow Tract Reconstruction.Echocardiography (Mount Kisco, N.Y.) · 2026Article
- The relationship between myocardial and hepatic T1 relaxometry on cardiovascular magnetic resonance imaging and clinical outcomes late after tetralogy of Fallot repair.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2026Article
- Pregnancy-Related Cardiac Adaptation and Postpartum Echocardiographic Findings in Repaired Tetralogy of Fallot: A Study Integrated with ESC 2025 Recommendations.Medicina (Kaunas, Lithuania) · 2026Article
- Multidimensional cardiac functional phenotyping beyond ejection fraction: a multimodality imaging framework for cardiovascular care.Frontiers in cardiovascular medicine · 2026Review
- From repair to right heart failure: Understanding the evolving landscape in tetralogy of fallot.Heart failure reviews · 2025Review
Corrections and comments
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Authors and funding
26 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIdentification of individuals at risk for major adverse cardiovascular events is essential for contemporary management of patients with repaired tetralogy of Fallot. We sought to identify clinical and cardiovascular magnetic resonance imaging (CMR) predictors of adverse clinical outcomes in repaired tetralogy of Fallot.
methodsChildren and adults prospectively enrolled in the CORRELATE (Comprehensive Outcomes Registry Late After Tetralogy of Fallot Repair) registry followed in North American, European, and Asian centers were studied. All patients had at least moderate pulmonary regurgitation and CMR at enrollment. Time-to-event analyses were performed from CMR completion to primary outcome, defined as mortality, resuscitated sudden death, sustained ventricular arrhythmia, or heart failure admission. Principal component analysis was used to create distinct CMR scores that collectively captured 80% of the variance among 10 CMR measures (systolic function, biventricular volumes/mass, and biatrial areas).
resultsIn 720 patients (55% male, median age 30.3±14 years, 78% adult) with mean follow-up 5.7±1.8 years, the primary outcome occurred in 38 patients (5.2%) at a rate of 0.9/100 patient-years. A well-calibrated risk scoring system was created for prediction of the primary outcome at 5 years based on 5 predictors: age, diabetes, right ventricular systolic pressure, and 2 CMR principal component scores (predominantly reflecting atrial areas in the first principal component score and ventricular volumes in the second principal component score) (c-statistic for the composite risk score 0.79 [95% Cl, 0.71-0.88]).
conclusionsClinical and imaging characteristics can contribute to risk prediction in repaired tetralogy of Fallot. Further study will be required to evaluate the utility of a risk scoring system for identification of individuals who may benefit from enhanced surveillance, intensified medical therapy, and/or optimally timed intervention.
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